HomeMy WebLinkAbout06-30-15 (2) INHERITANCE TAX
RECORD ADJUSTMENT E pennsytvania
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION REV-1604 EX AFP (11-14)
PO BOX 280601
HARRISBURG PA 17128-0601
RECORDED OFFICE OF DATE 06-05-2015
COTN
REGIS T,1--- I'!!LLS DATEESTATE OFOF DEATH 03-24TO-2014 JANET L
FILE NUMBER 21 15-0382
NIS AN 30 PA 3 50 COUNTY CUMBERLAND
SSN/DC 210-40-4489
JENNIFER L TAYLOR ACN 14123361
1363 PRINCETON RD CLE4,�, OF Amount Remitted
MECHANICSBURG PA 17 CM ;9 S' kol 3 U i-)%T
CUMBERLA'D CO., PA
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS 4--
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REV-1604 EX AFP (11-14)
INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS
DATE: 06-05-2015'
ESTATE OF: COTTON JANET L DATE OF DEATH: 03-24-2014 COUNTY: CUMBERLAND
FILE NO. : 21 15-0382 S.S/D.C. NO. : 210-40-4489 ACN: 14123361
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: METRO BANK ACCOUNT NO. : 82004409
TYPE OF ACCOUNT: C ) SAVINGS ( X) CHECKING t 7 TRUST TIME CERTIFICATE
DATE ESTABLISHED 04-08-1998
Account Balance 1,832.37 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0.55 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax 916. 19 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions 11000.00 PAYMENT TO THE REGISTER OF WILLS
Taxable Amount .00 AT THE ADDRESS SHOWN ABOVE.
Tax Rate X .15 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due .00 TO: "REGISTER OF WILLS, AGENT."
TAX CREDITS :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A
"CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.